NPI | 1003240169 |
---|---|
Former Name | DENISE O. PARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 1377) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4474) |
101YP2500X Counselor, Professional (Licence: NE 2178) | |
Enumeration Date | 2013-08-26 |
Last Update Date | 2016-11-30 |